Evidence map›Paper›PMID 37012346›Full record

Observational studyScientific reports2023

Impact of frailty on long-term mortality in older patients receiving intensive care via the emergency department.

Mototaka Inaba, Hiromichi Naito, Takashi Yorifuji, Chikaaki Nakamichi, Hiroki Maeyama, Hideki Ishikawa, Nobuaki Shime, Sadayori Uemori, Satoshi Ishihara, Makoto Takaoka and 12 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Mototaka Inaba *Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata, Okayama, 700-8558, Japan. pau546oq@s.okayama-u.ac.jp.
Hiromichi Naito *Department of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata, Okayama, 700-8558, Japan. hiromichi@s.okayama-u.ac.jp.
Takashi YorifujiDepartment of Epidemiology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Chikaaki NakamichiAdvanced Emergency and Critical Care Center, National Hospital Organization, Nagasaki Medical Center, Omura, Japan.
Hiroki MaeyamaEmergency and Critical Care Center, Tsuyama Chuo Hospital, Tsuyama, Japan.
Hideki IshikawaTrauma and Resuscitation Center, Teikyo University Hospital, Tokyo, Japan.
Nobuaki ShimeDepartment of Emergency and Critical Care Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Sadayori UemoriDepartment of Emergency, Yodogawa Christian Hospital, Osaka, Japan.
Satoshi IshiharaDepartment of Emergency and Critical Care, Hyogo Emergency Medical Center, Kobe, Japan.
Makoto TakaokaAcute Care Division, Harima-Himeji General Medical Center, Himeji, Japan.
Tsuyoshi OhtsukaEmergency Department, National Hospital Organization Yokohama Medical Center, Yokohama, Japan.
Masahiro HaradaDepartment of Emergency and Critical Care, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan.
Satoshi NozakiEmergency Department, Okayama Saiseikai General Hospital, Okayama, Japan.
Keisuke KohamaDepartment of Emergency, Disaster, and Critical Care Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Ryota SakuraiDepartment of Emergency and Critical Care Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Shuho SatoEmergency Medical Center, Saiseikai Senri Hospital, Suita, Japan.
Shun MuramatsuEmergency Department, Japanese Red Cross Medical Center, Tokyo, Japan.
Kazunori YamashitaAcute and Critical Care Center, Nagasaki University Hospital, Nagasaki, Japan.
Toshihiko MayumiDepartment of Emergency Medicine, University of Occupational and Environmental Health Hospital, Kitakyushu, Japan.
Kaoruko AitaUehiro Division, Center for Death and Life Studies and Practical Ethics, Graduate School of Humanities and Sociology, University of Tokyo, Tokyo, Japan.
Atsunori NakaoDepartment of Emergency, Critical Care, and Disaster Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata, Okayama, 700-8558, Japan.
the LIFE Study Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to evaluate whether frailty was associated with 6-month mortality in older adults who were admitted to the intensive care unit (ICU) with an illness requiring emergency care. The investigation was a prospective, multi-center, observational study conducted among the ICUs of 17 participating hospitals. Patients ≥ 65 years of age who were admitted to the ICU directly from an emergency department visit were assessed to determine their baseline Clinical Frailty Scale (CFS) scores before the illness and were surveyed 6 months after admission. Among 650 patients included in the study, the median age was 79 years old, and overall mortality at 6 months was as low as 21%, ranging from 6.2% in patients with CFS 1 to 42.9% in patients with CFS ≥ 7. When adjusted for potential confounders, CFS score was an independent prognostic factor for mortality (one-point increase in CFS, adjusted risk ratio with 95% confidence interval 1.19 [1.09-1.30]). Quality of life 6 months after admission worsened as baseline CFS score increased. However, there was no association between total hospitalization cost and baseline CFS. CFS is an important predictor of long-term outcomes among critically ill older patients requiring emergent admission.

Indexed as

FrailtyAgedCritical CareEmergency Service, HospitalHospital MortalityHumansInfantIntensive Care UnitsProspective StudiesQuality of Life

Identifiers

PMID37012346
PMCPMC10070345

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.